CH EMR (R4)
0.1.0 - ci-build
CH EMR (R4)
0.1.0 - ci-build
CH EMR (R4), published by HL7 Switzerland. This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/ehealthsuisse/ch-emr/ and changes regularly. See the Directory of published versions
{
"resourceType" : "Composition",
"id" : "UC4-Composition-emr-RudolfZimmermann",
"meta" : {
"profile" : [
🔗 "http://fhir.ch/ig/ch-emr/StructureDefinition/ch-emr-composition"
]
},
"language" : "de-CH",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\" xml:lang=\"de-CH\" lang=\"de-CH\"><p class=\"res-header-id\"><b>Generated Narrative: Composition UC4-Composition-emr-RudolfZimmermann</b></p><a name=\"UC4-Composition-emr-RudolfZimmermann\"> </a><a name=\"hcUC4-Composition-emr-RudolfZimmermann\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Language: de-CH</p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-ch-emr-composition.html\">CH Emergency Record Composition</a></p></div><p><b>identifier</b>: <a href=\"http://terminology.hl7.org/6.2.0/NamingSystem-uri.html\" title=\"As defined by RFC 3986 (http://www.ietf.org/rfc/rfc3986.txt)(with many schemes defined in many RFCs). For OIDs and UUIDs, use the URN form (urn:oid:(note: lowercase) and urn:uuid:). See http://www.ietf.org/rfc/rfc3001.txt and http://www.ietf.org/rfc/rfc4122.txt \r\n\r\nThis oid is used as an identifier II.root to indicate the the extension is an absolute URI (technically, an IRI). Typically, this is used for OIDs and GUIDs. Note that when this OID is used with OIDs and GUIDs, the II.extension should start with urn:oid or urn:uuid: \r\n\r\nNote that this OID is created to aid with interconversion between CDA and FHIR - FHIR uses urn:ietf:rfc:3986 as equivalent to this OID. URIs as identifiers appear more commonly in FHIR.\r\n\r\nThis OID may also be used in CD.codeSystem.\">Uniform Resource Identifier (URI)</a>/urn:uuid:7afc1e97-67f8-49a8-91f5-46af596d0609</p><p><b>status</b>: Final</p><p><b>type</b>: <span title=\"Codes:{http://loinc.org 60591-5}\">Patient summary Document</span></p><p><b>category</b>: <span title=\"Codes:{http://loinc.org LP173421-1}\">Report</span></p><p><b>date</b>: 2025-09-10 16:00:00+0200</p><p><b>author</b>: <a href=\"PractitionerRole-UC4-PractitionerRole-Hausarzt.html\">PractitionerRole General physician</a></p><p><b>title</b>: Elektronischer Notfallpass - Rudolf Zimmermann (Multimorbidität)</p><p><b>confidentiality</b>: normal</p></div>"
},
"identifier" : {
"system" : "urn:ietf:rfc:3986",
"value" : "urn:uuid:7afc1e97-67f8-49a8-91f5-46af596d0609"
},
"status" : "final",
"type" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "60591-5",
"display" : "Patient summary Document"
}
]
},
"category" : [
{
"coding" : [
{
"system" : "http://loinc.org",
"code" : "LP173421-1",
"display" : "Report"
}
]
}
],
"subject" : {
🔗 "reference" : "Patient/UC4-Patient-RudolfZimmermann"
},
"date" : "2025-09-10T16:00:00+02:00",
"author" : [
{
🔗 "reference" : "PractitionerRole/UC4-PractitionerRole-Hausarzt"
}
],
"title" : "Elektronischer Notfallpass - Rudolf Zimmermann (Multimorbidität)",
"confidentiality" : "N",
"_confidentiality" : {
"extension" : [
{
"url" : "http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-confidentialitycode",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "17621005",
"display" : "Normal (qualifier value)"
}
]
}
}
]
},
"section" : [
{
"title" : "Notfallkontakte",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "56864-2",
"display" : "Emergency contact"
}
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>Elisabeth Zimmermann (Tochter) +41 31 456 78 90</p></div>"
},
"entry" : [
{
🔗 "reference" : "RelatedPerson/UC4-RelatedPerson-ElisabethZimmermann"
}
]
},
{
"title" : "Behandelnde Gesundheitsfachpersonen",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "85847-2",
"display" : "Patient Care team information"
}
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><ul><li>Dr. med. Klaus Weber - Hausarzt (GLN: 7601000789012)</li></ul></div>"
},
"entry" : [
{
🔗 "reference" : "Practitioner/UC4-Practitioner-DrWeber"
}
]
},
{
"title" : "Reanimationsstatus",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "100822-6",
"display" : "Cardiopulmonary resuscitation orders"
}
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>Keinen Reanimationsstatus bekannt.</p></div>"
},
"emptyReason" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/list-empty-reason",
"code" : "unavailable",
"display" : "Information not available"
}
]
}
},
{
"title" : "Medikation",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "10160-0",
"display" : "History of Medication use Narrative"
}
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><ul><li>Ramipril 5mg morgens (Herzinsuffizienz)</li><li>Metoprolol 50mg 2x täglich</li><li>Furosemid 40mg morgens</li></ul></div>"
},
"entry" : [
{
🔗 "reference" : "MedicationStatement/UC4-MedicationStatement-Ramipril"
},
{
🔗 "reference" : "MedicationStatement/UC4-MedicationStatement-Metoprolol"
},
{
🔗 "reference" : "MedicationStatement/UC4-MedicationStatement-Furosemid"
},
{
🔗 "reference" : "MedicationStatement/UC4-MedicationStatement-MetforminRudolf"
}
]
},
{
"title" : "Impfungen",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "11369-6",
"display" : "History of Immunization Narrative"
}
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>Keine Immunisierung bekannt.</p></div>"
},
"emptyReason" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/list-empty-reason",
"code" : "unavailable",
"display" : "Information not available"
}
]
}
},
{
"title" : "Allergien oder Unverträglichkeiten",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "48765-2"
}
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>Keine Allergien bekannt.</p></div>"
},
"emptyReason" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/list-empty-reason",
"code" : "unavailable",
"display" : "Information not available"
}
]
}
},
{
"title" : "Risikofaktoren für Behandelnde",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "46467-7",
"display" : "Risk factors"
}
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>Keine Risikofaktoren bekannt.</p></div>"
},
"emptyReason" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/list-empty-reason",
"code" : "unavailable",
"display" : "Information not available"
}
]
}
},
{
"title" : "Probleme und Diagnosen",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "11450-4",
"display" : "Problem list - Reported"
}
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><ul><li>Chronische Herzinsuffizienz</li><li>Chronische Niereninsuffizienz</li><li>Diabetes mellitus Typ 2</li></ul></div>"
},
"entry" : [
{
🔗 "reference" : "Condition/UC4-Condition-HeartFailure"
},
{
🔗 "reference" : "Condition/UC4-Condition-AtrialFibrillation"
},
{
🔗 "reference" : "Condition/UC4-Condition-ChronicKidneyDisease"
},
{
🔗 "reference" : "Condition/UC4-Condition-DiabetesRudolf"
}
]
},
{
"title" : "Patientenverfügungen und Notfallanordnungen",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "42348-3",
"display" : "Advance directives"
}
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>Patientenverfügung vorhanden</p></div>"
},
"entry" : [
{
🔗 "reference" : "DocumentReference/UC4-AdvanceDirective"
}
]
},
{
"title" : "Andere Dokumente",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "55108-5",
"display" : "Clinical presentation Document"
}
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>Keine zusätzlichen Dokumente hinterlegt.</p></div>"
},
"emptyReason" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/list-empty-reason",
"code" : "unavailable",
"display" : "Information not available"
}
]
}
},
{
"title" : "Implantate",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "46264-8",
"display" : "History of medical device use"
}
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><ul><li>Hüftgelenk-Totalendoprothese links (2018)</li></ul></div>"
},
"entry" : [
{
🔗 "reference" : "DeviceUseStatement/UC4-DeviceUseStatement"
}
]
},
{
"title" : "Schwangerschaft",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "10162-6"
}
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>Keine Schwangerschaft bekannt.</p></div>"
},
"emptyReason" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/list-empty-reason",
"code" : "unavailable",
"display" : "Information not available"
}
]
}
},
{
"title" : "Kognitive Beeinträchtigungen",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "66610-7",
"display" : "Cognitive impairment"
}
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>Keine Beeinträchtigung bekannt.</p></div>"
},
"emptyReason" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/list-empty-reason",
"code" : "nilknown",
"display" : "None Known"
}
]
}
},
{
"title" : "Beeinträchtigungen",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "96386-8",
"display" : "Physical impairment information"
}
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>Keine Beeinträchtigung bekannt.</p></div>"
},
"emptyReason" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/list-empty-reason",
"code" : "nilknown",
"display" : "None Known"
}
]
}
}
]
}